Experience Inc. Jobs

Summary This position is located in the Patient Business Office of the Whiteriver Service Unit. The incumbent will be responsible for a full range of technical services in coding, abstracting and billing functions. This responsibility includes the submission of properly executed claims on a timely basis to third party payers and responsible parties, and rebilling or corrected billing of accounts previously submitted. The incumbent works under the supervision of the Supervisory Health System Specialist. Responsibilities Verification of all third party resources and work compensation for all registrations. Utilizes electronic eligibility system for those third party resources. Performs telephone verification for third party resources. Collects third party recipient's health card, obtain photocopies of the health card and explain the program to beneficiaries. Establishes eligibility of potential 3rd Party Resources by working with the Patient Benefit Coordinator/Contact Representative, etc. Investigates case situations and discrepancies. Requirements Conditions of Employment Must pass pre-employment examination. Selectee may be subject to a probationary/trial period ESEP appointees typically serve a two year trial period U.S. Citizenship is required Selective Service Registration is required for males born after 12/31/1959 This is a designated position covered by Public Law 101-630, requiring contact or control over Indian children. Due to this requirement, the agency must ensure that persons hired for these positions have not been found guilty of or pleaded nolo contendere or guilty to certain crimes. Confidential Financial Disclosure Form required. Measles and Rubella immunization required for selectees born after 1957 and seasonal influenza immunization is required for all staff working in Indian Health Service health care facilities. Successfully pass the E-Verify employment verification check. To learn more about E-Verify, including your rights and responsibilities, visit www.dhs.gov/E-Verify/. A bank account at a financial institution is required for electronic direct deposit of salary payment. Background Investigation: If you are selected for this vacancy, you must undergo a pre-employment fingerprint check and background investigation. Fingerprint results and background investigation documentation must be cleared prior to hire. After you begin your employment, your continued employment is contingent upon the outcome of a complete background investigation as determined by the sensitivity level of your position. The investigation must find that you are suitable for Federal employment in your position. If you are found not suitable, you will be terminated after you begin work. If you make a false statement in any part of your application, you may not be hired; you may be fired after you begin work; or subject to possible criminal charges. You may be subject to a credit check as a part of the background investigation process. Qualifications To qualify for this position, your resume must state sufficient experience and/or education, to perform the duties of the specific position for which you are applying. Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religious; spiritual; community; social). You will receive credit for all qualifying experience, including volunteer and part time experience. You must clearly identify the duties and responsibilities in each position held and the total number of hours per week. MINIMUM QUALIFICATIONS: GS-05: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-04 grade level in the Federal service obtained in either the private or public sector. Examples include: Familiarity of third-party billing information, i.e., Medicare, Medicaid, Workers Compensation, and other private insurance, their established procedures, required forms, etc., associated with these various health insurance programs; Performs telephone verification for third party resources; Updates, completes file for accuracy and merges the employer file in the Patient Registration/Third Party Billing System. -OR- Successful completion of 4 years of education above the high school. This education must have been obtained in an accredited business, secretarial or technical school, junior college, college or university. (Must provide Transcripts) -OR- Combination of education and experience what when combined fully meet the minimum qualifications for the position. Only Education in excess of the first 60 semester hours is creditable toward meeting the specialize experience requirement. The total percentage must equal at least 100 percent to qualify an applicant for GS-05 grade level. (Must provide Transcripts) Time In Grade Federal employees in the competitive service are also subject to the Time-In-Grade Requirements: Merit Promotion (status) candidates must have completed one year of service at the next lower grade level. Time-In-Grade provisions do not apply under the Excepted Service Examining Plan (ESEP). You must meet all qualification requirements by the closing date of the announcement. Education There are no education requirements, however if you are planning to substitute experience for education, you are strongly encouraged to submit a copy of your transcripts or a list of your courses including titles, credit hours completed, and grades. Unofficial transcripts will be accepted in the application package. Official transcripts will be required from all selectees prior to receiving an official offer. Additional Information Federal Employees earn annual leave at a rate (4, 6 or 8 hours per pay period) which is based on the number of years they have served as a Federal employee. IHS may offer newly-appointed Federal employees credit for their directly related previous non-federal experience or active duty uniformed military service. This credited service can be used in determining the rate at which they earn annual leave. This position is covered by a Bargaining Unit. This position has no promotion potential.